Sample Client Satisfaction Survey Template printable pdf download

Sample Client Satisfaction Survey Template

Sample Client Satisfaction Survey

CLIENT SATISFACTION QUESTIONNAIRE

Please help us improve our program by answering some questions about the services you have received. We are interested in your

honest opinion, whether they are positive or negative. Please answer all of the questions. We also welcome your comments and

suggestions on the bottom of this from. Thank you very much. We really appreciate your feedback.

Program: Immigration Legal Services_ Date: ____________ Age:_______ Male:______ Female:______

Ethnicity:

Please put a check on the line after the group that best describes your ethnicity.

Asian/Pacific Islander____ Biracial/Mixed_____ Black/African American_____ Hispanic/Latino_____

Native American _____White/Caucasian _____Other_____

Not Sure

Strongly

Agree

Disagree

Strongly

Agree

Neutral

Disagree

1. The quality of the service I received was excellent

2. I got the kind of service I wanted.

3. The program met my needs.

4. If a friend were in need of similar help, I would

recommend this program to him or her.

5. I was satisfied with the amount of help I received

6. The services helped me to deal more effectively

with my problems.

7. In an overall sense, I was satisfied with the services

I received.

8. If I was to seek help again, I will come back to this

program.

Comments:

Please mail survey to Director of Catholic Charities at Address, City and State.

Sample Client Satisfaction Survey Template